External beam radiation therapy (EBRT) |
Effective long-term cancer control with high-dose treatments |
Very low risk of urinary incontinence |
Available for cure of patients over a wide range of ages and in those with significant comorbidity |
Brachytherapy |
Cancer control rates appear equal to surgery and EBRT for organ-confined tumors |
Quicker than EBRT (single treatment) |
Available for cure of patients over a wide range of ages and in those with some comorbidity |
Radical prostatectomy |
Effective long-term cancer control |
Predictions of prognosis can be more precise based on pathologic features in specimen |
Pelvic lymph node dissection is possible through the same incision |
PSA failure is easy to detect |
Active surveillance |
Reduces overtreatment |
Avoids or postpones treatment-associated complications |
Has no effect on work or social activities |
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